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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

STEPHEN COMMISKEY, MD
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5900
 Fax: 601-984-5939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for STEPHEN COMMISKEY · (Male)

NPI Number 1003014606
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2007
Last updated 11/04/2009 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 20681
  • MS Other 302I053058 MEDICARE PTAN
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
  • WHITFIELD MEDICAL SURGICAL HOSPITAL - (Acute Care)
    3550 HWY 468 W, BLDG 60
    WHITFIELD, MS 39193
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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